Human Vaccines & Immunotherapeutics
ISSN: 2164-5515 (Print) 2164-554X (Online) Journal homepage: http://www.tandfonline.com/loi/khvi20
Influenza vaccination coverage among medical residents Claudio Costantino, Walter Mazzucco, Elena Azzolini, Cesare Baldini, Margherita Bergomi, Alessio Daniele Biafiore, Manuela Bianco, Lucia Borsari, Paolo Cacciari, Chiara Cadeddu, Paola Camia, Eugenia Carluccio, Andrea Conti, Chiara De Waure, Valentina Di Gregori, Leila Fabiani, Roberto Fallico, Barbara Filisetti, Maria E Flacco, Elisabetta Franco, Roberto Furnari, Veronica Galis, Maria R Gallea, Maria F Gallone, Serena Gallone, Umberto Gelatti, Francesco Gilardi, Anna R Giuliani, Orazio C Grillo, Niccolò Lanati, Silvia Mascaretti, Antonella Mattei, Rocco Micò, Laura Morciano, Nicola Nante, Giuseppe Napoli, Carmelo Nobile, Raffaele Palladino, Salvatore Parisi, Maria Passaro, Gabriele Pelissero, Michele Quarto, Walter Ricciardi, Gabriele Romano, Ennio Rustico, Anita Saponari, Francesco S Schioppa, Carlo Signorelli, Roberta Siliquini, Valeria Trabacchi, Maria Triassi, Alessia Varetta, Andrea Ziglio, Angela Zoccali, Francesco Vitale & Emanuele Amodio To cite this article: Claudio Costantino, Walter Mazzucco, Elena Azzolini, Cesare Baldini, Margherita Bergomi, Alessio Daniele Biafiore, Manuela Bianco, Lucia Borsari, Paolo Cacciari, Chiara Cadeddu, Paola Camia, Eugenia Carluccio, Andrea Conti, Chiara De Waure, Valentina Di Gregori, Leila Fabiani, Roberto Fallico, Barbara Filisetti, Maria E Flacco, Elisabetta Franco, Roberto Furnari, Veronica Galis, Maria R Gallea, Maria F Gallone, Serena Gallone, Umberto Gelatti, Francesco Gilardi, Anna R Giuliani, Orazio C Grillo, Niccolò Lanati, Silvia Mascaretti, Antonella Mattei, Rocco Micò, Laura Morciano, Nicola Nante, Giuseppe Napoli, Carmelo Nobile, Raffaele Palladino, Salvatore Parisi, Maria Passaro, Gabriele Pelissero, Michele Quarto, Walter Ricciardi, Gabriele Romano, Ennio Rustico, Anita Saponari, Francesco S Schioppa, Carlo Signorelli, Roberta Siliquini, Valeria Trabacchi, Maria Triassi, Alessia Varetta, Andrea Ziglio, Angela Zoccali, Francesco Vitale & Emanuele Amodio (2014) Influenza vaccination coverage among medical residents, Human Vaccines & Immunotherapeutics, 10:5, 1204-1210, DOI: 10.4161/hv.28081 To link to this article: http://dx.doi.org/10.4161/hv.28081
Published online: 06 Mar 2014.
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Date: 05 November 2015, At: 17:28
Research Paper Research Paper
Human Vaccines & Immunotherapeutics 10:5, 1204–1210; May 2014; © 2014 Landes Bioscience
Influenza vaccination coverage among medical residents Claudio Costantino1, Walter Mazzucco1, Elena Azzolini2, Cesare Baldini3, Margherita Bergomi4, Alessio Daniele Biafiore5, Manuela Bianco6, Lucia Borsari4, Paolo Cacciari7, Chiara Cadeddu8, Paola Camia9, Eugenia Carluccio4, Andrea Conti10, Chiara De Waure8, Valentina Di Gregori7, Leila Fabiani11, Roberto Fallico12, Barbara Filisetti13, Maria E Flacco14, Elisabetta Franco15, Roberto Furnari12, Veronica Galis6, Maria R Gallea12, Maria F Gallone16, Serena Gallone16, Umberto Gelatti13, Francesco Gilardi15, Anna R Giuliani11, Orazio C Grillo10, Niccolò Lanati17, Silvia Mascaretti13, Antonella Mattei11, Rocco Micò5, Laura Morciano15, Nicola Nante2, Giuseppe Napoli1, Carmelo Nobile5, Raffaele Palladino18, Salvatore Parisi1, Maria Passaro18, Gabriele Pelissero17, Michele Quarto16, Walter Ricciardi 8, Gabriele Romano3, Ennio Rustico7, Anita Saponari14, Francesco S Schioppa14, Carlo Signorelli9, Roberta Siliquini6, Valeria Trabacchi9, Maria Triassi18, Alessia Varetta17, Andrea Ziglio3, Angela Zoccali10, Francesco Vitale1, and Emanuele Amodio1,* Department of Science for Health Promotion and Mother to Child Care G. D’Alessandro; University of Palermo; Palermo Italy; 2Department of Public Health; University of Siena; Siena, Italy; 3Department of Medicine and Public Health; University of Verona; Verona, Italy; 4Department of Public Health Sciences; University of Modena and Reggio Emilia; Modena, Italy; 5Department of Health Sciences; University of Catanzaro Magna Græcia; Catanzaro, Italy; 6 Department of Public Health and Microbiology; University of Torino; Torino, Italy; 7Department of Medicine and Public Health; University of Bologna; Bologna, Italy; 8 Department of Public Health; University of Sacred Heart of Roma; Rome, Italy; 9Department of Public Health; University of Parma; Parma, Italy; 10Department of Hygiene, Preventive Medicine and Public Health; University of Messina; Messina, Italy; 11Department of Internal Medicine and Public Health; University of L’Aquila; L’Aquila, Italy; 12 Department of Hygiene and Public Health G.F. Ingrassia; University of Catania; Catania, Italy; 13Institute of Hygiene, Epidemiology and Public Health; University of Brescia; Brescia, Italy; 14Department of Medicine and Science of Aging; University G. D’Annunzio of Chieti; Chieti, Italy; 15Department of Public Health; University of Rome Tor Vergata; Rome, Italy; 16Department of Biomedical Sciences; University of Bari Aldo Moro; Bari, Italy; 17Department of Public Health, Neuroscience, Experimental and Legal Medicine; University of Pavia; Pavia, Lombardi, Italy; 18Department of Public Health; University Hospital Federico II of Naples; Naples, Italy
Downloaded by [60.51.187.141] at 17:28 05 November 2015
1
Keywords: influenza vaccination, medical residents, multicentre survey, coverage rate, Italy Abbreviations: MRs, medical residents; HCWs, health care workers; CDC, American Centers for Disease and Control; ECDC, European Centers for Disease and Control
Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011–2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P < 0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011–2012 season (P < 0.001). “To avoid spreading influenza among patients” was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.
*Correspondence to: Emanuele Amodio; Email: [email protected] Submitted: 11/05/2013; Revised: 01/27/2014; Accepted: 02/02/2014; Published Online: 03/06/2014 http://dx.doi.org/10.4161/hv.28081 1204
Human Vaccines & Immunotherapeutics
Volume 10 Issue 5
©2014 Landes Bioscience. Do not distribute.
An Italian multicenter survey
A multiplicity of international public health authorities recognize influenza vaccination as the best preventive measure to limit influenza virus transmission among population, emphasizing the high priority of selected population groups of public utility.1 In this context, vaccinating health care workers (HCWs) against influenza is strongly recommended by international health authorities (e.g., CDC and WHO).1,2 During influenza season HCWs are charged of a great responsibility in order to limit the risk of spreading influenza to their patients and to protect themselves assuring the continuity of health care. In fact, occupational influenza infections among HCWs have been associated worldwide with 2 main important consequences: (1) spreading infections to vulnerable patients,3,4 and (2) an increase of sickness absenteeism from work with possible limitation of healthcare assistance.5 Although influenza vaccination is recognized to be safe and effective, providing for 70–90% protection against infection,6 recent studies have confirmed that influenza vaccination coverage rates especially among HCWs remain generally low.7 Previous studies have documented that also medical residents (MRs) and general practitioner trainee physicians have shown very low coverage rates (
ISSN: 2164-5515 (Print) 2164-554X (Online) Journal homepage: http://www.tandfonline.com/loi/khvi20
Influenza vaccination coverage among medical residents Claudio Costantino, Walter Mazzucco, Elena Azzolini, Cesare Baldini, Margherita Bergomi, Alessio Daniele Biafiore, Manuela Bianco, Lucia Borsari, Paolo Cacciari, Chiara Cadeddu, Paola Camia, Eugenia Carluccio, Andrea Conti, Chiara De Waure, Valentina Di Gregori, Leila Fabiani, Roberto Fallico, Barbara Filisetti, Maria E Flacco, Elisabetta Franco, Roberto Furnari, Veronica Galis, Maria R Gallea, Maria F Gallone, Serena Gallone, Umberto Gelatti, Francesco Gilardi, Anna R Giuliani, Orazio C Grillo, Niccolò Lanati, Silvia Mascaretti, Antonella Mattei, Rocco Micò, Laura Morciano, Nicola Nante, Giuseppe Napoli, Carmelo Nobile, Raffaele Palladino, Salvatore Parisi, Maria Passaro, Gabriele Pelissero, Michele Quarto, Walter Ricciardi, Gabriele Romano, Ennio Rustico, Anita Saponari, Francesco S Schioppa, Carlo Signorelli, Roberta Siliquini, Valeria Trabacchi, Maria Triassi, Alessia Varetta, Andrea Ziglio, Angela Zoccali, Francesco Vitale & Emanuele Amodio To cite this article: Claudio Costantino, Walter Mazzucco, Elena Azzolini, Cesare Baldini, Margherita Bergomi, Alessio Daniele Biafiore, Manuela Bianco, Lucia Borsari, Paolo Cacciari, Chiara Cadeddu, Paola Camia, Eugenia Carluccio, Andrea Conti, Chiara De Waure, Valentina Di Gregori, Leila Fabiani, Roberto Fallico, Barbara Filisetti, Maria E Flacco, Elisabetta Franco, Roberto Furnari, Veronica Galis, Maria R Gallea, Maria F Gallone, Serena Gallone, Umberto Gelatti, Francesco Gilardi, Anna R Giuliani, Orazio C Grillo, Niccolò Lanati, Silvia Mascaretti, Antonella Mattei, Rocco Micò, Laura Morciano, Nicola Nante, Giuseppe Napoli, Carmelo Nobile, Raffaele Palladino, Salvatore Parisi, Maria Passaro, Gabriele Pelissero, Michele Quarto, Walter Ricciardi, Gabriele Romano, Ennio Rustico, Anita Saponari, Francesco S Schioppa, Carlo Signorelli, Roberta Siliquini, Valeria Trabacchi, Maria Triassi, Alessia Varetta, Andrea Ziglio, Angela Zoccali, Francesco Vitale & Emanuele Amodio (2014) Influenza vaccination coverage among medical residents, Human Vaccines & Immunotherapeutics, 10:5, 1204-1210, DOI: 10.4161/hv.28081 To link to this article: http://dx.doi.org/10.4161/hv.28081
Published online: 06 Mar 2014.
Submit your article to this journal
Article views: 87
View related articles
View Crossmark data
Downloaded by [60.51.187.141] at 17:28 05 November 2015
Citing articles: 3 View citing articles
Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=khvi20 Download by: [60.51.187.141]
Date: 05 November 2015, At: 17:28
Research Paper Research Paper
Human Vaccines & Immunotherapeutics 10:5, 1204–1210; May 2014; © 2014 Landes Bioscience
Influenza vaccination coverage among medical residents Claudio Costantino1, Walter Mazzucco1, Elena Azzolini2, Cesare Baldini3, Margherita Bergomi4, Alessio Daniele Biafiore5, Manuela Bianco6, Lucia Borsari4, Paolo Cacciari7, Chiara Cadeddu8, Paola Camia9, Eugenia Carluccio4, Andrea Conti10, Chiara De Waure8, Valentina Di Gregori7, Leila Fabiani11, Roberto Fallico12, Barbara Filisetti13, Maria E Flacco14, Elisabetta Franco15, Roberto Furnari12, Veronica Galis6, Maria R Gallea12, Maria F Gallone16, Serena Gallone16, Umberto Gelatti13, Francesco Gilardi15, Anna R Giuliani11, Orazio C Grillo10, Niccolò Lanati17, Silvia Mascaretti13, Antonella Mattei11, Rocco Micò5, Laura Morciano15, Nicola Nante2, Giuseppe Napoli1, Carmelo Nobile5, Raffaele Palladino18, Salvatore Parisi1, Maria Passaro18, Gabriele Pelissero17, Michele Quarto16, Walter Ricciardi 8, Gabriele Romano3, Ennio Rustico7, Anita Saponari14, Francesco S Schioppa14, Carlo Signorelli9, Roberta Siliquini6, Valeria Trabacchi9, Maria Triassi18, Alessia Varetta17, Andrea Ziglio3, Angela Zoccali10, Francesco Vitale1, and Emanuele Amodio1,* Department of Science for Health Promotion and Mother to Child Care G. D’Alessandro; University of Palermo; Palermo Italy; 2Department of Public Health; University of Siena; Siena, Italy; 3Department of Medicine and Public Health; University of Verona; Verona, Italy; 4Department of Public Health Sciences; University of Modena and Reggio Emilia; Modena, Italy; 5Department of Health Sciences; University of Catanzaro Magna Græcia; Catanzaro, Italy; 6 Department of Public Health and Microbiology; University of Torino; Torino, Italy; 7Department of Medicine and Public Health; University of Bologna; Bologna, Italy; 8 Department of Public Health; University of Sacred Heart of Roma; Rome, Italy; 9Department of Public Health; University of Parma; Parma, Italy; 10Department of Hygiene, Preventive Medicine and Public Health; University of Messina; Messina, Italy; 11Department of Internal Medicine and Public Health; University of L’Aquila; L’Aquila, Italy; 12 Department of Hygiene and Public Health G.F. Ingrassia; University of Catania; Catania, Italy; 13Institute of Hygiene, Epidemiology and Public Health; University of Brescia; Brescia, Italy; 14Department of Medicine and Science of Aging; University G. D’Annunzio of Chieti; Chieti, Italy; 15Department of Public Health; University of Rome Tor Vergata; Rome, Italy; 16Department of Biomedical Sciences; University of Bari Aldo Moro; Bari, Italy; 17Department of Public Health, Neuroscience, Experimental and Legal Medicine; University of Pavia; Pavia, Lombardi, Italy; 18Department of Public Health; University Hospital Federico II of Naples; Naples, Italy
Downloaded by [60.51.187.141] at 17:28 05 November 2015
1
Keywords: influenza vaccination, medical residents, multicentre survey, coverage rate, Italy Abbreviations: MRs, medical residents; HCWs, health care workers; CDC, American Centers for Disease and Control; ECDC, European Centers for Disease and Control
Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011–2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P < 0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011–2012 season (P < 0.001). “To avoid spreading influenza among patients” was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.
*Correspondence to: Emanuele Amodio; Email: [email protected] Submitted: 11/05/2013; Revised: 01/27/2014; Accepted: 02/02/2014; Published Online: 03/06/2014 http://dx.doi.org/10.4161/hv.28081 1204
Human Vaccines & Immunotherapeutics
Volume 10 Issue 5
©2014 Landes Bioscience. Do not distribute.
An Italian multicenter survey
A multiplicity of international public health authorities recognize influenza vaccination as the best preventive measure to limit influenza virus transmission among population, emphasizing the high priority of selected population groups of public utility.1 In this context, vaccinating health care workers (HCWs) against influenza is strongly recommended by international health authorities (e.g., CDC and WHO).1,2 During influenza season HCWs are charged of a great responsibility in order to limit the risk of spreading influenza to their patients and to protect themselves assuring the continuity of health care. In fact, occupational influenza infections among HCWs have been associated worldwide with 2 main important consequences: (1) spreading infections to vulnerable patients,3,4 and (2) an increase of sickness absenteeism from work with possible limitation of healthcare assistance.5 Although influenza vaccination is recognized to be safe and effective, providing for 70–90% protection against infection,6 recent studies have confirmed that influenza vaccination coverage rates especially among HCWs remain generally low.7 Previous studies have documented that also medical residents (MRs) and general practitioner trainee physicians have shown very low coverage rates (
